Registration for Polygraph Exam

The following registration form must be completed in order to schedule an appointment with a Global Polygraph Network examiner.
Once your registration and initial deposit (referral fee) have been received, the examiner who handles your area will contact you within
approximately two business days to schedule your appointment at a mutually-convenient date and time. The fee listed for your exam location is the full fee for
one exam conducted on weekdays during normal business hours. The deposit/referral fee is NOT an additional fee. The balance of the
exam fee (total amount less the deposit/referral fee) must be paid directly to the examiner. The examiner will likely request a second deposit after
an appointment has been scheduled. You will receive a confirmation email within 2 business days after your registration has been processed.

ALL QUESTIONS MARKED WITH AN * ARE REQUIRED

PERSON REQUESTING THE EXAM

* Person Requesting Exam

* Street Address

* City

* State or Province

* Zip or Postal Code

* Country (if outside U.S.A.)

* Phone Number

Alternate Phone Number

Email

Exam Location & Fee

MONTANA, SIDNEY MT251 W. Holly Street - $1200 per exam

Fee does not reflect volume discounts if applicable.

PERSON(S) TAKING THE EXAM

*
Number of persons to be tested?

X $200 USD = initial deposit (referral fee)

NOTE: If you require 3 or more examinations please contact us for volume pricing.

*
Name(s) of persons to be tested?

We do not test children under 12 years of age. Testing of children 12 to 17 years of age requires parental consent.

WHY IS A DEPOSIT REQUIRED? Frankly, nearly half of all clients who schedule appointments without a deposit do not show up for their appointments. The deposit helps insure that you are serious about moving ahead with your exam and are not using the "threat of polygraph" merely as a tool to extort information from someone. The deposit is NOT an additional fee. It is only a part of the overall fee, and will be deducted from the total amount. You will pay the balance of the fee directly to your examiner. Please note that your registration will not be complete until your deposit has been received. In most cases deposits are non-refundable (see our refund policy for details).

Please choose one of the payment methods from
the dropdown menu below:

NO CREDIT CARD? NO PROBLEM. Pick up a prepaid debit or gift card at many large retail and drug stores.